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Title of Journal: Int J Colorectal Dis

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Abbravation: International Journal of Colorectal Disease

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Springer-Verlag

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DOI

10.1007/s11010-011-0778-5

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1432-1262

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Occurrence of adenomas in the pouch and small inte

Authors: A C Schulz C Bojarski H J Buhr A J Kroesen
Publish Date: 2008/01/09
Volume: 23, Issue: 4, Pages: 437-441
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Abstract

Proctocolectomy with ileoanal pouch construction is the standard therapy for patients with familial adenomatous polyposis coli FAP to prevent the genesis of colorectal carcinomas In our patient population we observed the postoperative development of adenomas not only in the pouch but also in the remaining small intestine The exact incidence of these ileal polyps is still unknown since the diagnostic possibilities of examining the small intestine are limitedWe performed wireless capsule endoscopy CE in patients who developed postoperative pouch adenomas PA to record the simultaneous occurrence of small bowel adenomas and PA We operated on 46 patients with FAP mf 1710 age 33 ± 9 years Thirtyfive patients underwent proctocolectomy with ileoanal pouch creation Pouch endoscopy was performed in regular intervals at 3 months and then annually after proctocolectomy Capsule endoscopy was additionally carried out in all patients with PASince jejunal and ileal adenomas occur in all patients with PA we recommend regular followup examinations which include pouch endoscopy at 3 months and annually after surgery in the presence of PA after proctocolectomy and pouch creation On the basis of our observations we recommend adding CE or doubleballoon enteroscopy to the followup examination

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